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Accidental Nd:YAG laser‐induced choroidal neovascularization
Author(s) -
Ying Howard S.,
Symons Robert C.A.,
Lin Kristie L.,
Solomon Sharon D.,
Gehlbach Peter L.
Publication year - 2008
Publication title -
lasers in surgery and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 112
eISSN - 1096-9101
pISSN - 0196-8092
DOI - 10.1002/lsm.20626
Subject(s) - medicine , photodynamic therapy , verteporfin , choroidal neovascularization , ophthalmology , fluorescein angiography , fundus photography , neovascularization , fundus (uterus) , optical coherence tomography , surgery , retinal , angiogenesis , chemistry , organic chemistry
Background There are few reports in the literature to describe the natural history of an occupational Nd:YAG laser‐induced retinal injury. Methods The chronological response to a Nd:YAG laser‐induced injury was studied in a 48‐year‐old male using the techniques of color fundus photography, fluorescein angiography and optical coherence tomography. When he developed choroidal neovascularization his response to photodynamic therapy with verteporfin was recorded. Results The patient initially developed a macular hole, which spontaneously closed. Three months after the injury a choroidal neovascular membrane developed. This stabilized after the use of photodynamic therapy. Conclusions Surgical closure of Nd:YAG induced macular holes should be delayed to allow spontaneous closure. Photodynamic therapy was successful in treating choroidal neovascularization in this case. Lesers Surg. Med. 40:240–242, 2008. © 2008 Wiley‐Liss, Inc.